Butalbital, Acetaminophen, and Caffeine Medicare Coverage in Massachusetts
cover Butalbital, Acetaminophen, and Caffeine
Medicare Plans Covering Butalbital, Acetaminophen, and Caffeine in Massachusetts
Sorted by lowest 30-day copay at a preferred pharmacy. Prices shown are estimates from CMS formulary data.
| Plan Name | Monthly Premium | Tier | 30-day Copay | Stars | Restrictions | Action |
|---|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC MA-0003 (HMO-POS) Lowest Copay | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| UHC One Care MA-Y3 (HMO D-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| eternalHealth Forever (HMO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC MA-0003 (HMO-POS) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| UHC One Care MA-Y4 (HMO D-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| HumanaChoice Giveback H7617-046 (PPO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| UHC Senior Care Options MA-Y001 (HMO D-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage CareFlex from UHC MA-9 (HMO-POS) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| HumanaChoice Giveback H5216-138 (PPO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| Mass Advantage Basic (HMO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| UHC Senior Care Options NHC MA-Y002 (HMO D-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Mass Advantage Premiere (PPO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| HumanaChoice H5216-249 (PPO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| eternalHealth Freedom (PPO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Erickson Advantage Guardian (HMO-POS I-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Humana Direct Choice Giveback (PPO) | $0.00/mo | Tier 2 - Generic | $0.00 | N/A | None | Details → |
| eternalHealth Give Back (PPO) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| UHC Complete Care MA-7 (HMO-POS C-SNP) | $0.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Erickson Advantage Liberty (HMO-POS) | $14.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Mass Advantage Plus (HMO) | $39.40/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC MA-0006 (PPO) | $45.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| AARP Medicare Advantage from UHC MA-0006 (PPO) | $48.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Erickson Advantage Freedom (HMO-POS) | $89.00/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Erickson Advantage Champion (HMO-POS C-SNP) | $119.50/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Erickson Advantage Signature (HMO-POS) | $173.70/mo | Tier 3 - Preferred Brand | $0.00 | N/A | None | Details → |
| Health New England Medicare Value (HMO) | $0.00/mo | Tier 2 - Generic | $10.00 | N/A | None | Details → |
| Health New England Medicare Compass (PPO) | $0.00/mo | Tier 2 - Generic | $10.00 | N/A | None | Details → |
| Health New England Medicare Premium (HMO) | $15.80/mo | Tier 2 - Generic | $10.00 | N/A | None | Details → |
| Health New England Medicare Plus (HMO) | $58.40/mo | Tier 2 - Generic | $10.00 | N/A | None | Details → |
Compare All Massachusetts Plans for Butalbital, Acetaminophen, and Caffeine
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Frequently Asked Questions
100% of Medicare Part D plans in Massachusetts cover Butalbital, Acetaminophen, and Caffeine. There are 29 plans available. Coverage and costs vary by specific plan.
The average 30-day copay for Butalbital, Acetaminophen, and Caffeine in Massachusetts is $5.71 at a preferred pharmacy. Costs vary by plan. Compare plans to find the lowest cost option for you.
Based on current CMS data, AARP Medicare Advantage from UHC MA-0003 (HMO-POS) offers one of the lowest copays for Butalbital, Acetaminophen, and Caffeine in Massachusetts. Enter your ZIP code to see all plans and compare total annual costs including premiums.
Butalbital, Acetaminophen, and Caffeine Coverage in Other States
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Coverage data from CMS formulary files for plan year 2026. How we calculate costs • National coverage for Butalbital, Acetaminophen, and Caffeine
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